Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden
BACKGROUND: The presence of early balance impairment in patients with Parkinson's disease has not been fully investigated. PURPOSE: The purpose of this study was to examine balance and mobility, self-perceived unsteadiness, self-reported falls, and effects of medication on balance among patient...
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Umeå universitet, Fysioterapi
2020
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ftumeauniv:oai:DiVA.org:umu-155392 2023-10-09T21:54:36+02:00 Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden Johansson, Christer Lindström, Britta Forsgren, Lars Johansson, Gudrun M. 2020 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-155392 https://doi.org/10.1080/09638288.2018.1509240 eng eng Umeå universitet, Fysioterapi Umeå universitet, Klinisk neurovetenskap Disability and Rehabilitation, 0963-8288, 2020, 42:6, s. 770-778 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-155392 doi:10.1080/09638288.2018.1509240 PMID 30451551 ISI:000519894000004 Scopus 2-s2.0-85057306811 info:eu-repo/semantics/openAccess Parkinson’s disease balance exercise falls parkinsonism postural instability Neurology Neurologi Article in journal info:eu-repo/semantics/article text 2020 ftumeauniv https://doi.org/10.1080/09638288.2018.1509240 2023-09-22T13:57:58Z BACKGROUND: The presence of early balance impairment in patients with Parkinson's disease has not been fully investigated. PURPOSE: The purpose of this study was to examine balance and mobility, self-perceived unsteadiness, self-reported falls, and effects of medication on balance among patients at their first visit to a neurological clinic and during the ensuing five years. MATERIALS AND METHODS: The participants were collected from a prospective longitudinal study. One hundred and forty-five patients with idiopathic Parkinson's disease and 31 healthy controls were included. The outcome measures were the Berg Balance Scale, the Timed Up and Go, the Postural Stability test and a questionnaire. RESULTS: At their first visit to the neurological clinic, the patients performed less well on the Berg Balance Scale (p < 0.001, r = 0.36), the Timed Up and Go (p < 0.001, r = 0.32), and the Postural Stability test (p < 0.001, r = 0.35) compared with the controls. In addition, a higher percentage of the patients reported self-perceived unsteadiness (p < 0.001, phi = 0.47). During the ensuing five years, balance and mobility worsened both with and without medication (p < 0.01, r = 0.24-0.37), although with small median differences. CONCLUSIONS: Further studies are needed to confirm that minor balance impairments exist even at the time of diagnosis and worsen during the ensuing five years. IMPLICATIONS FOR REHABILITATION Impairments in balance and mobility may occur early in Parkinson's disease, especially in the elderly patients, and seem to worsen during the first five years. There is a need to use sensitive outcome measures and to ask the patients about unsteadiness and falls to detect balance impairment in this cohort. Parkinsonian medication has a limited effect on balance and may preferably be complemented with balance exercises to target balance impairment early in Parkinson's disease. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Disability and Rehabilitation 42 6 770 778 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Parkinson’s disease balance exercise falls parkinsonism postural instability Neurology Neurologi |
spellingShingle |
Parkinson’s disease balance exercise falls parkinsonism postural instability Neurology Neurologi Johansson, Christer Lindström, Britta Forsgren, Lars Johansson, Gudrun M. Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden |
topic_facet |
Parkinson’s disease balance exercise falls parkinsonism postural instability Neurology Neurologi |
description |
BACKGROUND: The presence of early balance impairment in patients with Parkinson's disease has not been fully investigated. PURPOSE: The purpose of this study was to examine balance and mobility, self-perceived unsteadiness, self-reported falls, and effects of medication on balance among patients at their first visit to a neurological clinic and during the ensuing five years. MATERIALS AND METHODS: The participants were collected from a prospective longitudinal study. One hundred and forty-five patients with idiopathic Parkinson's disease and 31 healthy controls were included. The outcome measures were the Berg Balance Scale, the Timed Up and Go, the Postural Stability test and a questionnaire. RESULTS: At their first visit to the neurological clinic, the patients performed less well on the Berg Balance Scale (p < 0.001, r = 0.36), the Timed Up and Go (p < 0.001, r = 0.32), and the Postural Stability test (p < 0.001, r = 0.35) compared with the controls. In addition, a higher percentage of the patients reported self-perceived unsteadiness (p < 0.001, phi = 0.47). During the ensuing five years, balance and mobility worsened both with and without medication (p < 0.01, r = 0.24-0.37), although with small median differences. CONCLUSIONS: Further studies are needed to confirm that minor balance impairments exist even at the time of diagnosis and worsen during the ensuing five years. IMPLICATIONS FOR REHABILITATION Impairments in balance and mobility may occur early in Parkinson's disease, especially in the elderly patients, and seem to worsen during the first five years. There is a need to use sensitive outcome measures and to ask the patients about unsteadiness and falls to detect balance impairment in this cohort. Parkinsonian medication has a limited effect on balance and may preferably be complemented with balance exercises to target balance impairment early in Parkinson's disease. |
format |
Article in Journal/Newspaper |
author |
Johansson, Christer Lindström, Britta Forsgren, Lars Johansson, Gudrun M. |
author_facet |
Johansson, Christer Lindström, Britta Forsgren, Lars Johansson, Gudrun M. |
author_sort |
Johansson, Christer |
title |
Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden |
title_short |
Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden |
title_full |
Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden |
title_fullStr |
Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden |
title_full_unstemmed |
Balance and mobility in patients with newly diagnosed Parkinson's disease : a five-year follow-up of a cohort in northern Sweden |
title_sort |
balance and mobility in patients with newly diagnosed parkinson's disease : a five-year follow-up of a cohort in northern sweden |
publisher |
Umeå universitet, Fysioterapi |
publishDate |
2020 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-155392 https://doi.org/10.1080/09638288.2018.1509240 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Disability and Rehabilitation, 0963-8288, 2020, 42:6, s. 770-778 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-155392 doi:10.1080/09638288.2018.1509240 PMID 30451551 ISI:000519894000004 Scopus 2-s2.0-85057306811 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/09638288.2018.1509240 |
container_title |
Disability and Rehabilitation |
container_volume |
42 |
container_issue |
6 |
container_start_page |
770 |
op_container_end_page |
778 |
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1779318247465680896 |